RI与大隐静脉曲张合并股腘深静脉反流患者VCSS评分的相关性分析  

Correlation Analysis between RI and VCSS Score in Patients with Great Saphenous Varicose Veins Complicated with Deep Femoral Popliteal Venous Reflux

作　　者：杜建青[1] 汪立[1] 吴忠隐 李荣华[1] 张弘[1] DU Jianqing;WANG Li;WU Zhongyin;LI Ronghua;ZHANG Hong(The Department of Vascular Surgery,Affiliated Hospital of Chengde Medical University,Chengde 067000,Hebei,P.R.China)

机构地区：[1]承德医学院附属医院血管外科,河北承德067000

出　　处：《影像科学与光化学》2022年第5期1067-1071,共5页Imaging Science and Photochemistry

基　　金：2020年承德市科学技术研究与发展计划项目(202006A082)。

摘　　要：探讨基于彩色多普勒超声检查的深静脉反流指数(RI)与大隐静脉曲张合并股腘深静脉反流患者静脉临床严重程度评分(VCSS)的关联性。选取150例大隐静脉曲张合并股腘深静脉反流患者作为研究组,并选取60例同期未合并股腘深静脉反流的大隐静脉曲张患者作为对照组,所有患者进行彩色多普勒超声检查。结果显示,研究组反流时间、反流速度及RI均高于对照组(P<0.05);反流时间、反流速度及RI诊断大隐静脉曲张患者股腘深静脉反流的AUC分别为0.820、0.749、0.832,联合诊断的AUC为0.875;反流时间、反流速度及RI仍与大隐静脉曲张合并股腘深静脉反流显著相关(P<0.05);大隐静脉曲张合并股腘深静脉反流患者RI、VCSS评分与静脉反流程度呈正相关(r=0.912、0.806,P<0.05);大隐静脉曲张合并股腘深静脉反流患者RI与VCSS评分呈正相关(r=0.738,P<0.05)。基于彩色多普勒超声检查的深静脉RI与大隐静脉曲张合并股腘深静脉反流患者VCSS评分呈正相关,可辅助临床评估患者病情,且反流时间、反流速度及RI在诊断大隐静脉曲张合并股腘深静脉反流方面具有一定价值。This paper investigated the correlation between color Doppler ultrasonography-based deep venous reflux index(RI)and venous clinical severity score (VCSS)in patients with great saphenous varicose veins complicated with deep femoral popliteal venous reflux.150patients with great saphenous varicose veins combined with deep femoral popliteal venous reflux were selected as the research group,and 60patients with great saphenous varices without deep femoral popliteal venous reflux during the same period were selected as the study group.All patients underwent color Doppler ultrasonography.The results showed that the reflux time,reflux speed and RI in the study group were higher than those in the control group(P<0.05).The AUC of the reflux time,reflux speed and RI in the diagnosis of deep femoral popliteal venous reflux in patients with saphenous varices were 0.820,0.749,0.832,respectively.The AUC of combined diagnosis was 0.875.The reflux time,reflux velocity and RI were still significantly correlated with saphenous varices combined with deep femoral popliteal regurgitation (P<0.05).The RI and VCSS scores of patients with venous reflux were positively correlated with the degree of venous reflux(r=0.912,0.806,P<0.05).The RI were positively correlated with VCSS scores of patients with great saphenous varices combined with deep femoral popliteal venous reflux(r=0.738,P<0.05).Deep vein RI based on color Doppler ultrasonography is positively correlated with VCSS score in patients with great saphenous varicose veins complicated with deep femoral popliteal venous reflux,which can assist clinical assessment of patients’condition,and the reflux time,reflux velocity and RI has a certain value helpful in the diagnosis of great saphenous varices combined with deep femoral popliteal venous reflux.

关 键 词：大隐静脉曲张 股腘深静脉反流 超声 静脉临床严重程度评分 诊断 

分 类 号：R654.4[医药卫生—外科学] R445.1[医药卫生—临床医学]